| Wound Medical Care Of Wny Pllc | |
|
229 Summit St Batavia NY 14020-1645 | |
| (585) 344-4440 | |
| Not Available |
| Full Name | Wound Medical Care Of Wny Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 229 Summit St, Batavia, New York |
| Authorized Official Name and Position | Mohamed Ibrahim (MD/OWNER) |
| Authorized Official Contact | 7166891901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Medical Care Of Wny Pllc 405 N French Rd Ste 104 Amherst NY 14228-2010 Ph: (716) 689-1901 | Wound Medical Care Of Wny Pllc 229 Summit St Batavia NY 14020-1645 Ph: (585) 344-4440 |
| NPI Number | 1831608033 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 09/20/2017 |
| Medicare PECOS PAC ID | 4183987993 |
|---|---|
| Medicare Enrollment ID | O20180409001974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831608033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohamed M Ibrahim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154379295 PECOS PAC ID: 3476443920 Enrollment ID: I20070514000061 |
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